45D2136698 CLIA NUMBER - WALMART PHARMACY 10-1253

Laboratory Demographics

  • CLIA Code: 45D2136698
  • Facility Name: WALMART PHARMACY 10-1253
  • Facility Address: 710 E BEN WHITE BLVD
    AUSTIN, TX
    ZIP 78704
  • Facility Phone: 512 443-6588
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KALLI SVOBODA
  • NPI Number: 1699792853
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136698
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1253
Street 710 E BEN WHITE BLVD
City AUSTIN
State TX
ZIP 78704
Phone 512 443-6588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Pharmacy
Lab Director KALLI SVOBODA

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This page was last updated on: 9/29/2025